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RBPR-06-2023-44584.TIF
tia�' �� THIS IS NOT A PERMIT Case# RBPR-06-2023-44584 CATAWBA COUNTY HEALTH DEPARTMENT v PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 sM Residential Building Plan Review- Manufactured Home EXS SYSTEM Owner MARCIAL MARTINEZ-HERRERA,4390 MORNING DR,CLAREMONT NC 28610 C:8286386426 RUI'HMAR"I'701@GMAIL.COM NAME TO APPEAR ON PERMIT Marcial Martinez-Herrera SITE ADDRESS: 4390 MORNING DR.CLAREMONT NC 28610 PIN # 377106491418 NAME of SUBDIVISION: FARMWOOD SUBDIV Lot# 63 Section/Block PROPERTY SIZE: Square Feet Acres 0.71 DIRECTIONS: Catawba St,road changes to Old Catawba Rd,Right onto Twilight dr, left onto Morning Dr PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: Change out 76x14 singlewide with 6x6 decking front and back to be in the exact location of the exisitng mobile home(owners plan to demo existing mobile home) SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF single wide(to be removed) EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 60x13 NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 76x14 Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: ehapplical ion 06i09/2023 15:22 Page 1 of 3 �$' CATAWBA COUNTY Case# RBPR-06-2023-44584 • i~ t a Public Health Department P Subdivision FARMWOOD SUBDIV (< H Environmental Health Division PIN# 377106491418 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 g 2 w NAME ON PERMIT: (MARCIAL MARTINEZ-HERRERA),4390 MORNING DR,CLAREMONT NC 28610 (Marcia!Martinez-Herrera) Site Address: 4390 MORNING DR,CLAREMONT NC 28610 Property Size: Square Feet Acres 0.71 Directions: Catawba St,road changes to Old Catawba Rd,Right onto Twilight dr,left onto Morning Dr Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. Date: Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREA3 ...*..*******.F#....#...####+k.....*****************************+FAY*******i**.*****...***....*b**** .. FEENAME DATE FEE AMOUNT Existing Tank Check Fee 06/09/2023 S80.00 TOTAL FEES S80.00 FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) ehapplicanon 06/09/2023 15:22 Page 2 of 3 Catawba county public health Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: $New Construction ❑Existing Facility El Improvement Permit ❑Authorization to Construct ❑New Septic ❑ Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion ®Existing System Inspection or Reconnection ❑New Well ❑Replacement Well ❑Well Abandonment ❑Well Repair Property Address 43gQ Morning Or C IoresnotE NG Z Co 10 Acres + 11 Subdivision Lot# (,? Driving Directions to Property G.n\ - �-� } (bc -k 'Irv,n �S k Old C LA c t r. Rc Desctv)e work f p- e Applicant Name Marc;cit t`\44rttne7 -1-terre ra Applicant Address Phone Email Owner Name Marc;ul Mack-Inez herrera Owner Address Sep S (3o Ft-cm L tLE C ICI re►»n_11# NC Z L JO Phone dZ?3 4 =1 to 3 — (04 ite Email rUft into 70I p ru 1 Contractor Name Contractor Address Phone Email Name to Appear on Permit? [Owner ❑Applicant ❑Contractor Who will be the Primary Contact? a-Owner ❑Applicant ❑Contractor Proposed New Construction-Residential Primary Residence "New Residence El Addition to Residence #of New Bedrooms*t 2 #of Occupants 3 Project Description 1uc uuc U ,' w 1(14 Structure Dimensions,also spec' y dimensions of decks&porches 7 b K 1 l 1 (� xb �-r cat , n j (Choose One) ❑Basement Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes []/No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) ❑Basement El Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing [ 1'es El No Describe Plumbing Needed (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' El Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?❑Yes ❑No Environmental Health Catawba County Government Center, 25 Government Drive I PO. Box 389, Newton, NC 28658 Phone: (828)465-8270 I Fax: (828) 465-8276 I EHAdmin@CatawbaCountyNC.gov Existing Structures on Site Describe tng1c Vito b c vgmcad Structure Dimensions io C) i 1 #of Bedrooms* Z #of Occupants Basement ❑Yes ° No Basement Plumbing ❑Yes LAY No Existing Water Supply [Individual Well ❑ Shared Well—Number of C"nnections El Community Well ❑ County/City/Township Water Line Is a public water supply available?** 0 Yes R4 o Commercial ❑Proposed New Construction ❑Existing/Change of Use ❑ Repair Food Service Specify Type #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare❑Yes 0 No #of Children #of Employees per Shift #of Shifts Commercial Kitchen ❑ Yes ❑No Residential Kitchen ❑Yes ❑No Daycare#of Children #of Employees per Shift #of Shifts Business/Other Specify Type Structure Dimensions Retail Floor Space #of Employees per Shift #of Shifts Other Information Calculated Design Flow,Commercial t (This value will be determined by EH staff) The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. Ife answer to any question is"yes",applicant must attach supporting documentation. Oyes ©No Does the site contain any jurisdictional wetlands? Yes ❑ o Does the site contain any existing wastewater systems? Oyes l No Is any wastewater going to be generated on the site other than domestic sewage? he Yes ❑)to Is the site subject to approval by any other public agency? ❑Yes PE'No Are there any easements or right of ways on this property? Describe If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) 0 Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other 0 Any *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on floor plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design flow will be detennined by EH Staff. **If No,a well permit must be issued with the Authorization to Construct. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE) Environmental Health soil/site evaluations require digging,angering,and/or probing into the ground.Property owner/applicant is responsible for marking ail underground utilities,including but not limited to:underground power,cable,telephone,gas,water lines,and irrigation systems/sprinkler systems.Catawba County Environmental Health is not responsible for damage to unmarked utilities. Completed applications are valid for a period of 2 years. Improvement Permits are valid:with complete site plan=60 months(5 years); with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct,issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes.Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. - 2-- 1 Signature of Owner or Legal Agent K C r C u k cJ L �1L1 o A !t1 C- ate c Printed Name of Owner or Legal Agent G IY, n� dA IN�G ✓ 1 t Z' ` , g g e( ti C-rCl Catawba County Environmental Health .4'7'2. 290 c9' 0 129.6 I •�i <� f-, s 4390 • 413. 43.47 \00 11145 125 •4385 0 �� 86.5 01. 28 C:\...\\:.) •d4tf4 58.5 ry co P .4393 22.45 61.4 ■ Parcel: 377106491418, 4390 MORNING DR 1 in=60ft CLAREMONT, 28610 This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 05/24/2023 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 377106491418 Owner: MARTINEZ-HERRERA MARCIAL Parcel Address: 4390 MORNING DR SANDALIO City: CLAREMONT, 28610 Owner2: MARTINEZ DEL PILAR RUTH LRK(REID): 20923 Address: 4390 MORNING DR Deed Book/Page: 3023/0808 Address2: Subdivision: FARMWOOD SUBDIV City: CLAREMONT Lots/Block: 63/ State/Zip: NC 28610-9569 Last Valid Sale: School Information: Plat Book/Page: 20/34 Legal: LOT 63 FARMWOOD PL 20-34 School District: COUNTY Calculated Acreage: .710 Elementary School: CATAWBA Middle School: RIVER BEND Tax Map: 020AY 01063 Township: CATAWBA High School: BUNKER HILL State Road #: School Map TaxNalue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: CLAREMONT RURAL Zoning1 : R-40 Building(s) Value: $500 Zoning2: Land Value: $8,300 Zoning3: Assessed Total Value: $8,800 Zoning Overlay: DWMH-O,WP-O Year Built/Remodeled: / Small Area: CATAWBA Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Valid Sales (COMPER) for this parcel Contact Tax Dept. at 828-465-8436 Current Tax Bill Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710377100J If available, Building Permits for this parcel. Septic 2010 Census Block: 2053 links are not permits. 2010 Census Tract: 011401 Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY Environmental Health.Building Details (k51\ Ik-v)re,iNQr WaterShed: WS-IV Protected Area Voter Precinct: P5/ Voting Map t ``� 3 5 (Op)i, Parcel Report Data Descriptions (C),•O0 List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user,The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability, whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2023, Catawba County Government, North Carolina.All rights reserved. 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BEDROOMS a. NO FIXTURES / INDIVIDUAL ✓ PUBLIC GARBAGE DISPOSAL UNIT:YES ( ) NO (. IF WELL, TYPE : BORED DRILLED DUC- AUTO WASHING MACHINE : YES ( --) fO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD: 7,20 SQ. FT . POLLUTION: so "11-- FT. 1) NUMBER OF LINES .3 SEPTIC TANK INSTALLED BY• 2) LENGTH AND WIDTH OF LINES 1� id /'.-.t-, 3 / PER3 IT FEE $ . . a) BED SYSTEM (' ) CERTIFICATE OF ,Cb I•LETIONN BY: --- b) TRENCH SYSTEM (L4--1 ,,.,,Y,.,,4 Q,� 3) DEPTH OF STONE IN LINES /,2 REMARKS : ADEQUATE FALL (GRADE) ON: 1) BUILDING (HOUSE) SEWER LINE : YES ( Y NO ( ) 2) NITRIFICATION LINES1 DATE INSTALLED; YES (-'1-- NO ( ) , SEPTIC ANK LAYOUT i jaL_ ,�GZe. v 1 m 1444'4 Z'" C._--='----__---_ ------ -------=— — --- ) ----n z 0 P0 / w - -- H H a 14 L 11:_i___4wL HEALTH DEPARTMENT COPY i - _ - - — .. /4 � PERMITN0. ���?��� 6 ,rpIRMIT FEE: yD,DZ) le'lff1) pFRMI.T. VOID AFTER 36 MONTHS CATAWBA COUNTY IALTH DEPARTMENT IMPROVEMENT PERMIT OWNER OR CONTRACTOR: 5i � DATE: Ati� �a� ) > /� N,C.ag�(t0 PHONE: via. - nl ADDRESS: ), `��r-� 5��6-1< . -. ,p ,� , LOCATION: � .:t ..,,,� ,. 4 .,-o) 3 t-e _a- d"" �i(' SUBDIVISION•• LOT �� cl3 SECTION OR BLOCK: LOT SIZE: p. a�?e, Notified to check with Zoning Yes ( ) No ( ) Zoning Approval 7681 House ( ) Mobile Home ( 4-4--ausiness ( ) Other ( ) Flow Rate: gpd Bedrooms: ,2.2 Bathrooms: ) Special Fixtures: Other: ----'--- Basement - Yes ( ) No ( 1J._-- Fixtures in Basement - Yes ( ) No (c__).—P-uinpSystem Yes( ) No -( )_-- Garbage Disposal Unit Yes ( ) No ( L-}� Water Supply: Private ( H'" Public ( ) TANK SIZE: /d d0 gallons Comments/Special Instructions: NITRIFICATION FIELD: Number of Lines 3 Length and width of Lines System must be installed as shown. Any (a) Bed System changes will be made only with prior Health (b) Trench System 36" X SAD Department approval. If unforeseen problems or Trench System 30" X arise during installation, contractor must Total Sauare Fontage,_2Aaa___nept1_of_atQIIe )X.' call Health Department. I ERT T HA REVIEWED AND AGREE TO THE PROVISIONS ON THIS PERMIT. Owner/Agent S ni_tax-i-aa- Final approval of this septic to systems all in no way be taken as a ;.uarantee that the system will function satisfactorily for any given period of time. f SITE AND SEPTIC TANK PLAN it- / �6'/ 3' ; �,, a..-L- � / I 1 • — t,c.--e,_ / 1 'Health Departmen tr42 / Co Site Factor: ' — -- — Soil Groin_Soil TScture Class Application Mate Slope and Landscape Position C- PS - U Soil. Drainage S � - U Sandy Clay - � Soil De th S - U Fine Silt Loam p III 0.6-0.4 Restrictive Horizon S - i - U Loams Clay Loam Available Space s - t:*. - u Silty Clay Other S - U (Specify) S.aady Cl _ Soil Characteristics: S - S U IVa Clays S,}1.ty Clay 0.4-0.2 0 Repair Area Required: Yes ( ' ) - No ( ) Clay *Bed systems are allowed only in soil GTei.ID ILI.